DEATH CERTIFICATE

JOHN KELLY

Date  21 August 1922
Cert: #  18371 
Name:  John KELLY 
Place of Death: Voting Pct. #16, Knott Co., KY
Male, White, Married
Birth Date:  1844
Age:  78 years
Occupation:  Farmer 
Place of Birth:  Ky.
Name of Father:  unknown 
Birthplace Father:  Ky. 
Maiden Name of Mother:  Nancey KELEY
Birthplace Mother:  Ky. 
Informant:  G. W. KELLEY, Elic, Ky.
Death Date:  21 August 1922
Cause of Death:  Myocarditis
Signed:  R. L. Kelley, M.D.
Burial Place:  (blank) 
Date of Burial:  22 August 1922
Undertaker: (blank) 
File Date:  (blank) 
Transcribed by Debbie Tamborski, 14 January 2009